inforMED
MalfunctionFPK

MINIMED® PRO-SET® BD FLOWSMART¿ TECHNOLOGY, 24IN X 6MM P-CAP

Received Feb 15, 2019 · Event occurred Aug 4, 2017

Report 1920898-2019-00163 · MDR key 8344429

Device

Generic name

Intravascular Administration Set

Catalog number

328614

Lot number

6207535

Product problems

  • Failure to Deliver
  • Failure to Deliver

Patient

Not reported

  • No Information
  • No Information

Narrative

Additional Manufacturer Narrative

(B)(6). A DEVICE EVALUATION IS ANTICIPATED, BUT HAS NOT YET BEGUN. UPON COMPLETION OF THE INVESTIGATION AND/OR DEVICE HISTORY REVIEW, A SUPPLEMENTAL REPORT WILL BE FILED.

Description of Event or Problem

IT WAS REPORTED THAT DURING USE OF A MINIMED® PRO-SET® BD FLOWSMART¿ TECHNOLOGY, 24IN X 6MM P-CAP THE NEEDLE WAS BENT AND WOULD NOT DELIVER INSULIN.

Additional Manufacturer Narrative

INVESTIGATION: THERE WERE NO RELEVANT QUALITY NOTIFICATIONS RAISED WHICH MAY HAVE CONTRIBUTED TO BENT CANNULA FOUND DURING DHR REVIEW. SINCE THERE WERE NO SAMPLES (OR PHOTOS) FOR INVESTIGATION, UNABLE TO CONFIRM THE REPORTED ISSUE AND THE ACTUAL ROOT CAUSE IS UNDETERMINED.

Description of Event or Problem

IT WAS REPORTED THAT DURING USE OF A MINIMED® PRO-SET® BD FLOWSMART¿ TECHNOLOGY, 24 IN X 6MM P-CAP THE NEEDLE WAS BENT AND WOULD NOT DELIVER INSULIN.